Abstract
A dialysis method for the study of intestinal absorption is described. Its use has been assessed in animals and normal human subjects and it has been applied to the measurement of rectal transport of sodium and water.
When the luminal solution was of high sodium concentration (145 m-equiv/1), the sodium influx rate (lumen to plasma) was about five times greater than the sodium efflux rate (plasma to lumen). The luminal sodium concentration associated with zero net sodium flux was very low (<15 m-equiv/1). As the mucosa was charged with the luminal side negative, the epithelium must therefore possess a powerful sodium absorbing `pump'. With isotonic solutions in the lumen, the amount of water absorbed depended on the sodium concentration and when this was 30 m-equiv/1 or less, no significant water absorption was detectable. When, however, water absorption was altered by imposing osmotic gradients, sodium absorption was not significantly affected. The luminal solution tended to become issomolar with plasma; osmotic gradients across the epithelium did not develop.
The particular transport properties of rectal epithelium enabling it to remove sodium from the lumen against considerable electrochemical gradients are well adapted to its function.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barnaby C. F., Edmonds C. J. Use of a miniature GM counter and a whole body counter in the study of potassium transport by the colon of normal, sodium-depleted and adrenalectomized rats in vivo. J Physiol. 1969 Dec;205(3):647–665. doi: 10.1113/jphysiol.1969.sp008988. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CURRAN P. F., MACINTOSH J. R. A model system for biological water transport. Nature. 1962 Jan 27;193:347–348. doi: 10.1038/193347a0. [DOI] [PubMed] [Google Scholar]
- Dalmark M. The transmucosal electrical potential difference across the human rectum in vivo following perfusion of different electrolyte solutions. Scand J Gastroenterol. 1970;5(5):421–426. [PubMed] [Google Scholar]
- Devroede G. J., Phillips S. F. Failure of the human rectum to absorb electrolytes and water. Gut. 1970 May;11(5):438–442. doi: 10.1136/gut.11.5.438. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Diamond J. M., Bossert W. H. Standing-gradient osmotic flow. A mechanism for coupling of water and solute transport in epithelia. J Gen Physiol. 1967 Sep;50(8):2061–2083. doi: 10.1085/jgp.50.8.2061. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Edmonds C. J., Cronquist A. A simple millivoltmeter and electrodes for measurement of rectal electrical potential in man. Med Biol Eng. 1970 Jul;8(4):409–410. doi: 10.1007/BF02477670. [DOI] [PubMed] [Google Scholar]
- Edmonds C. J., Godfrey R. C. Measurement of electrical potentials of the human rectum and pelvic colon in normal and aldosterone-treated patients. Gut. 1970 Apr;11(4):330–337. doi: 10.1136/gut.11.4.330. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Edmonds C. J., Marriott J. C. The effect of aldosterone and adrenalectomy on the electrical potential difference of rat colon and on the transport of sodium, potassium, chloride and bicarbonate. J Endocrinol. 1967 Dec;39(4):517–531. doi: 10.1677/joe.0.0390517. [DOI] [PubMed] [Google Scholar]
- Edmonds C. J. Transport of sodium and secretion of potassium and bicarbonate by the colon of normal and sodium-depleted rats. J Physiol. 1967 Dec;193(3):589–602. doi: 10.1113/jphysiol.1967.sp008380. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Geall M. G., Spencer R. J., Phillips S. F. Transmural electrical potential difference of the human colon. Gut. 1969 Nov;10(11):921–923. doi: 10.1136/gut.10.11.921. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shields R. Absorption and secretion of electrolytes and water by the human colon, with particular reference to benign adenoma and papilloma. Br J Surg. 1966 Oct;53(10):893–897. doi: 10.1002/bjs.1800531019. [DOI] [PubMed] [Google Scholar]
- WRONG O., MORRISON R. B., HURST P. E. A method of obtaining faecal fluid by in-vivo dialysis. Lancet. 1961 Jun 3;1(7188):1208–1209. doi: 10.1016/s0140-6736(61)91947-x. [DOI] [PubMed] [Google Scholar]